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Tpa Examiner Jobs (NOW HIRING)

Enstar Group

Senior Claims/TPA Oversight Examiner

$33.50 - $45.50/hr

The Senior Claims Examiner is responsible for adjusting claims and/or providing TPA oversight of the various entities under management. The role requires the ability to deal with a wide range of ...

Hippo Insurance

Claims Examiner - Spinnaker

Austin, TX · On-site

$85K - $120K/yr

Claims Examiner - Partner Programs Location: Austin, TX / Dallas, TX / Bedminster, NJ / San Jose ... Review and approve TPA funding requests within authority * Participate in claim file audits to ...

Trident

Medical Claims Examiner

$30/hr

We are seeking a highly skilled and independent Claims Examiner to join our team on a 100% remote ... TPA Experience: Previous experience working within a Third Party Administrator (TPA) environment is ...

AIG

Complex Claims Director - TPA Oversight

Dallas, TX · On-site

Successfully complete required State licensing examinations and continuing education requirement ... Partner with TPA Governance and Relationship Management to help TPA's and Insureds comply with ...

Auxiant

Claims Examiner

Madison, WI · On-site

An Independent TPA investing in People and Innovation to deliver expert-driven experiences with ... a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ...

Auxiant

Claims Examiner

Madison, WI · On-site +1

An Independent TPA investing in People and Innovation to deliver expert-driven experiences with ... a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ...

Auxiant

Claims Examiner

Cedar Rapids, IA · On-site

An Independent TPA investing in People and Innovation to deliver expert-driven experiences with ... a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ...

Auxiant

Claims Examiner

Madison, WI · On-site

An Independent TPA investing in People and Innovation to deliver expert-driven experiences with ... a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ...

Auxiant

Claims Examiner

Cedar Rapids, IA · On-site

An Independent TPA investing in People and Innovation to deliver expert-driven experiences with ... a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ...

Auxiant

Claims Examiner

Madison, WI · On-site

An Independent TPA investing in People and Innovation to deliver expert-driven experiences with ... a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans ...

AIG

Claims Complex Director TPA

Atlanta, GA · On-site

Successfully complete required State licensing examinations and continuing education requirement ... Partner with TPA Governance and Relationship Management to help TPA's and Insureds comply with ...

Point C

Claims Examiner

Bellingham, WA · On-site

$19 - $22/hr

Point C is a National third-party administrator (TPA) with local market presence that delivers ... Point C is looking for a detail-oriented and motivated Claims Examiner to join our team. In this ...

AIG

Complex Claims Director - TPA Oversight

Dallas, TX · On-site

Successfully complete required State licensing examinations and continuing education requirement ... Partner with TPA Governance and Relationship Management to help TPA's and Insureds comply with ...

AIG

Complex Claims Director - TPA Oversight

Lenexa, KS · On-site

$104K - $125K/yr

Successfully complete required State licensing examinations and continuing education requirement ... Partner with TPA Governance and Relationship Management to help TPA's and Insureds comply with ...

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Tpa Examiner information

See salary details

$33.5K

$61.4K

$99K

How much do tpa examiner jobs pay per year?

As of Sep 10, 2026, the average yearly pay for tpa examiner in the United States is $61,362.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,000.00 and $69,500.00 per year, depending on experience, location, and employer.

What is a TPA examiner?

TPA Examiners are professionals who work for Third Party Administrators (TPAs), organizations that manage various aspects of employee benefit plans, such as retirement or health insurance, on behalf of employers. Their main responsibilities include reviewing claims, ensuring compliance with regulations, and processing plan transactions. TPA Examiners play a critical role in making sure that participant requests and plan operations are handled accurately and efficiently. They often interact with plan sponsors, participants, and other service providers to resolve discrepancies and answer questions. This position requires strong attention to detail, regulatory knowledge, and customer service skills.

What are the key skills and qualifications needed to thrive as a TPA examiner?

To excel as a TPA Examiner, you need a solid understanding of insurance claims processing, policy interpretation, and relevant regulatory compliance, often supported by experience in claims management or an insurance-related degree. Familiarity with claims management software, document management systems, and sometimes industry certifications like AIC or CPCU is typically required. Attention to detail, strong analytical skills, and effective communication are crucial soft skills for investigating claims and interacting with clients and stakeholders. These capabilities ensure accurate and efficient claims adjudication, regulatory compliance, and strong client relationships.

What are the typical daily challenges faced by a TPA examiner, and how can new hires best prepare for them?

TPA Examiners often manage a high volume of claims and must ensure each is processed accurately and in compliance with client and regulatory requirements. Common challenges include balancing competing deadlines, interpreting complex policy language, and maintaining clear communication with clients, claimants, and medical providers. New hires can best prepare by developing strong organizational skills, familiarizing themselves with relevant regulations (such as ERISA), and proactively seeking clarification when encountering unfamiliar scenarios. Embracing ongoing learning and collaborating with experienced team members can also help newcomers navigate the role effectively.

What is the difference between Tpa Examiner vs Insurance Claims Adjuster?

AspectTpa ExaminerInsurance Claims Adjuster
Required CredentialsTypically requires a license, insurance knowledge, and sometimes a certification in claims or insuranceRequires licensing, insurance knowledge, and often a claims adjusting certification
Work EnvironmentOffice-based, reviewing claims, conducting examinations, and assessing damagesField and office-based, investigating claims, inspecting damages, and negotiating settlements
Employer & Industry UsageUsed mainly by third-party administrators, insurance companies, and healthcare providersEmployed by insurance companies, independent adjusting firms, and public adjusting agencies

The Tpa Examiner and Insurance Claims Adjuster roles share similar credentials and work environments, focusing on claims assessment. However, Tpa Examiners primarily review claims for third-party administrators, often in healthcare or insurance contexts, while Insurance Claims Adjusters investigate and settle claims directly for insurance companies. Both roles require licensing and insurance knowledge, but their specific duties and employer types differ slightly.

What cities are hiring for Tpa Examiner jobs?

Cities with the most Tpa Examiner job openings:

What states have the most Tpa Examiner jobs?

States with the most job openings for Tpa Examiner jobs include:

What are popular job titles related to Tpa Examiner jobs?

For Tpa Examiner jobs, the most frequently searched job titles are:

Infographic showing various Tpa Examiner job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 87% Full Time, 9% Part Time, 1% Temporary, 1% Contract, and 1% Nights. Highlights an 84% Physical, 6% Hybrid, and 10% Remote job distribution, with an average salary of $61,362 per year, or $29.5 per hour.

Tpa Commercial Claims Examiner

Remote

Schifrin, Gagnon, & Dickey, Inc.
Insurance Services • 11 - 50 employees
Learn more about Schifrin, Gagnon, & Dickey, Inc.external

Full-time

Re-posted 15 days ago

Job description

Description
Are you a detail-oriented and enthusiastic claims professional?Join our team at SGD as a TPA Claims Examiner, working remotely. You will play a crucial role in evaluating insurance claims and facilitating the resolution process for clients. This position requires excellent communication skills, experience with handling auto/commercial auto liability and transportation claims, and the ability to work efficiently under pressure. If you find satisfaction in investigating all avenues to reach the best possible resolution for claims and clients, this position is for you!
Responsibilities
$44
Qualifications
To excel in this role, the following qualifications and skills are essential:
• Proficiency in comprehending and applying commercial policy terms and endorsement forms.
• Capability to draft memos for review and approval by the supervisor.
• Proven ability to effectively manage a full caseload within a fast-paced environment.
• Outstanding organizational skills, including the maintenance of a robust diary system.
• A minimum of 5 years of experience in commercial auto and transportation claims handling.
• Prior experience with TPAs is advantageous.

Apply